The nurse has identified the nursing diagnosis of ineffective coping for a client with severe ...

1. Encourage exercise and relaxation techniques

Rationale:
Interventions to aid with ineffective coping for a client with severe premenstrual syndrome include encouraging exercise and relaxation techniques and avoiding alcohol intake. The client should not be encouraged to have 4 ounces of wine each day. The client should be instructed to use contraception if engaging in sexual intercourse during menstruation since ovulation and pregnancy can occur. Frequent rest periods would be beneficial for a client with dysfunctional uterine bleeding.